Episode 121.0 – Pancreatitis - a podcast by Core EM
from 2017-11-13T12:00:53
This week we dive into the diagnosis and management of pancreatitis in the ED
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Tags: Gastroenterology, GI, Pancreatitis
Show Notes
Ranson’s Criteria for Pancreatitis-Associated Mortality (Rosen’s)
Take Home Points
Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipsae 3x normal, CT scan)
A RUQ US should be performed looking for gallstones as this finding significantly alters management
The focus of management is on supportive care. IV fluids, while central to therapy, should be given judiciously and titrated to end organ perfusion
Patients will mild pancreatitis who are tolerating oral intake and can reliably follow up, can be discharged home
Read More
Hemphill RR, Santen SA: Disorders of the Pancreas; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 91: p 1205-1226
PulmCrit: The Myth of Large-Volume Resuscitation in Acute Pancreatitis
PulmCrit: Hypertriglyceridemic Pancreatitis: Can We Defuse the Bomb?
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